Individual
KATEY ROSE BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 CELEBRATION PL, CELEBRATION, FL 34747-4970
(407) 303-8000
Mailing address
133 VITORIA RD, DAVENPORT, FL 33837-9610
(330) 853-1217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9409148
FL
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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